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	<head>
		<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
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			<title><!--%nom_fonction%--></title>
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            	<link rel="stylesheet" type="text/css" href="form_ie7.css" />
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	<body>
		<div id="sf_menu1">
			<h3><!--%nom_module%--></h3>
			<div id="information_erreur" >
	        		<ul id="message">
	        			<!--%loop:messages%-->
	        			<li><!--%message%--></li>
	        			<!--%endLoop:messages%-->
	        		</ul>
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<div class="corps1">
	
	<div class="cleared"></div>
	<div id="br"></div>
	
	
	<div class="imgleft"></div>
	<div class="imgmiddle">
        <form action="<!--%edit_action%-->" method="post" name="form1" id="form1">
			<div class="btn">
	        	<span class="btnleft"></span>
	            <span class="btnmiddle"><h5><!--%nom_fonction%--></h5></span>
	            <span class="btnright"></span>
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			<div class="btn1">
	        	<span class="btnleft"></span>
	            <span class="btnmiddle"><h5><!--%nom_liste%--></h5></span>
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		<div class="formulaire">
			<table class="tabform"  style="margin-left:50px;">
		
		<!--%loop:champ_input%-->
		<!--%if:isset($['label_select'])%-->
								<tr>
								  	<td><!--%label_select%--></td>
								  	<td>
								  		<select name="<!--%select_name%-->">
								  		<!--%loop:options%-->
								  			<option value="<!--%option_value%-->"><!--%option_name%--></option>
								  		<!--%endLoop:options%-->
									  	</select>
								  	</td>
								</tr>
		<!--%endIf%-->
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		<!--%loop:champ_input_2%-->
			<!--%if:isset($['label_input'])%-->
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						<td><!--%label_input%--></td>
						<td><input type="text" name="<!--%input_name%-->" maxlength="<!--%maxlength%-->" class="<!--%class%-->" size="40"/></td>
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			<!--%endIf%--> 
		<!--%endLoop:champ_input_2%-->
		

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		<div><table><tr><td>&nbsp;</td></tr></table></div>

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	<!--%if:<!--%bBouton_annuler%-->==true%-->
                <div class="bt1">
					<a  href="<!--%url_annuler%-->">
				    	<span class="btleft"></span>
				        <span class="btmiddle">Annuler</span>
				        <span class="btright"></span>
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			<!--%endIf%-->		
	<div class="bt1 ">
		<span class="btleft"></span>
		<input type="submit" name="Valider" value="Valider" class="resizeall btmiddle"/>
		<span class="btright"></span>
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